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NPI Code Detail

MEDICARE: CLEOPATRA BOBADILLA GONZALEZ APRN

MEDICARE: CLEOPATRA BOBADILLA GONZALEZ APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11032348FL

General Provider Information

NPI Number : 1811720790
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLEOPATRA BOBADILLA GONZALEZ APRN
Provider Business Mailing Address
First Line : 12171 SW 268TH ST
Second Line :
City : HOMESTEAD
State : FL
Zip : 33032-8001
Country : US
Telephone Number : 305-278-0200
Fax Number :
Provider Business Practice Location Address
First Line : 502 E HINSON AVE
Second Line :
City : HAINES CITY
State : FL
Zip : 33844-5240
Country : US
Telephone Number : 863-438-7911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2024
Last Update Date : 05/06/2026

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Directions to “ CLEOPATRA BOBADILLA GONZALEZ APRN” Practice Location

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